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Form FA-88 Prior Authorization Request - Opioid Quantity Limit - Nevada
What Is Form FA-88?
This is a legal form that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form FA-88?
A: Form FA-88 is a Prior Authorization Request form.
Q: What is the purpose of Form FA-88?
A: The purpose of Form FA-88 is to request prior authorization for opioid quantity limit in Nevada.
Q: What does the form require?
A: The form requires information about the patient, prescriber, and the requested opioid quantity limit.
Q: Who needs to fill out this form?
A: The prescriber or their authorized representative needs to fill out this form.
Form Details:
- Released on May 15, 2017;
- The latest edition provided by the Nevada Department of Health and Human Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form FA-88 by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.
